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Pre-Screening Application

For New Prospective Students ONLY

Please fill out every section or you cannot submit your application

Name of Parent or Guardian

Name and Age of Student

Phone Number

Why do you/your child want to partake in Martial Arts Classes? *

Fitness, Weight Loss, Physical Health, Self-Defense

Discipline, Mental Health, Focus, Behavior Modification

Curiosity, Amazement, Desire, Passion, Understanding

All of the above!

Here at FMA we believe that "kids don't quit, Parents do". Do you agree or disagree? *

Totally Agree! As a parent, we have the power over what we want for our child's future even if they cannot see the benifit today...

I Disagree! Parents should not make their kids do things that they don't want to do. Kids should be free to choose what they want to do...

How serious are you about developing you/your childs Mental and Physical health? *

Kinda serious... Just want to try it and see if its for me.

Im serious but im not sure what to expect.

I am fully serious about positively effecting my Physical and Mental health. This is a priority of mine!

What do you think a Blackbelt is? *

The Final Belt... I Guess...

A White Belt (Beginner) Who Never QUIT... Thats something I want for myself/my child!

When you can kick and punch pretty good...

Your information will be reviewed by our specialist. She will be reaching out to you shortly. If you don't hear from her please call the number below or email her at Fmafuture@gmail.com

Frohm's Martial Arts

5851 MacArthur Blvd Oakland, CA

Call us at: 5106328326

Email us at: fmafuture@gmail.com

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